NPIMap

Organization Active NPI

Hoala I Ke Ola LLC

  • Multi-Specialty Clinic/Center
  • Honolulu, HI
National Provider Identifier
1851084057
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HOALA I KE OLA LLC
Practice address
801 S Beretania St
Honolulu, HI 96813-2501
Phone
(808) 753-3935
NPI assigned
Jun 1, 2023
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robin Wentzel
Title
Chief Financial Officer
Phone
(808) 753-3965

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

801 S Beretania St
Honolulu, HI 96813-2501

Mailing address

PO Box 1540
Honolulu, HI 96806-1540
Phone (808) 753-3935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240523000287 HI Part B Supplier - Clinic/Group Practice 6406298363 Receives reassigned benefits from 7 practitioners
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Locations

801 S Beretania St
Honolulu, HI 96813
Phone (808) 753-3935

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1851084057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1540",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968061540",
            "telephone_number": "808-753-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132501",
            "telephone_number": "808-753-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOALA I KE OLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "WENTZEL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "808-753-3965"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.